Individual
MS. SHANNON LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-S, NCC, CRC
Contact information
Practice address
89 BREWER RD, PURVIS, MS 39475
(769) 208-3042
Mailing address
89 BREWER RD, PURVIS, MS 39475-3513
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1240
MS
Other
Enumeration date
08/09/2011
Last updated
02/06/2019
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